Nursing Process: Training Specialist Omar Hammad 0561523465

‫‪Training Specialist‬‬
‫‪Omar Hammad‬‬ ‫لسع ي – ت ريض‬ ‫ل ي‬ ‫ف الخت‬ ‫ل رن مج لت ي ي ل‬

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‫‪READY FOR SNLE EXAM – SAUDI NURSES TRAINING COURS‬‬
‫‪Nursing Process‬‬
‫ل قي ل ي س س ع ب ل ك ي ع‬ ‫ل ثي من ل ع م‬ ‫في ه ل ص س‬
‫يض ب ه مفي م ش ‪.‬‬ ‫ل‬ ‫ت كيز تح ي الخ‬
‫س سي ل يض هي ل ح ألس سي في أس ل يض ففي غ ب خ‬
‫ل يض ل م ف ل زء ألك من ألس ي ح ح الج ء ل ي ي‬
‫ب في الج ء ب ل ء من ‪.‬‬ ‫قي ل‬
‫بغ‬ ‫فم ل ض ع‬ ‫ع‬ ‫ليس ع‬ ‫ص بأس ل أبسط م‬ ‫أق لك ه ل‬

‫سس م ش ‪.‬‬
‫من‬ ‫م ش‬ ‫الق ال بع الس‬ ‫ل ف‬ ‫ه‬ ‫‪ -------‬أتع بع ن‬ ‫أن ل‬

‫ح‬ ‫أ‪.‬ع‬
‫أم ي تي ل م ب ل فيق لف ئ‬
‫‪2017-4- 16‬‬
‫‪Hammadjo2012@yahoo.com‬‬ ‫‪WhatsApp +966561523465‬‬ ‫‪Twitter : @hammadjo2012‬‬

Training Specialist
Omar Hammad ‫لسع ي – ت ريض‬ ‫ل ي‬ ‫ف الخت‬ ‫ل رن مج لت ي ي ل‬
0561523465
READY FOR SNLE EXAM – SAUDI NURSES TRAINING COURS
Training Program
For
Saudi Nursing Licensing Examination
‫ ألس سي‬-‫ف‬ ‫ل رن مج لت ي ي ل‬
NURSING PROCESS
‫ي‬ ‫يف ل‬ ‫لي ل‬ ‫الخ‬

‫ت ص ل يض‬
‫ص ألح أخ‬ ‫س ه ل‬ ‫ أتع بع ن أ بيع‬........... ‫أن ل‬

،، ‫الق‬
‫ه ل ت ن ش ألح الس تي ي ل م ج ل ي ي ن الع ع ي‬

‫خص‬ ‫ل يض ل م‬ ‫ ل ح ي ل ي ل حيح في خ‬%15-10 ‫ب نس ه‬
‫الج ب هي ل ي ألصح‬ ‫م ب صحيح ت‬ ‫ج يع ل ي‬ ‫ع م ت‬
.
‫ع ر ح‬. ‫ أ‬: ‫أع‬
Using
Hammadjo2012@yahoo.com WhatsApp +966561523465 Twitter : @hammadjo2012
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Nursing Process
IN Prometric Questions
Omar Hammad
‫كثي ع‬ ‫يس ع‬ ‫يض أم في غ ي أله ي‬ ‫ل‬ ‫س‬ ‫خط ت في الج ب ع‬ ‫ع‬ ‫الع‬ ‫ي ي‬ ‫لع ي ل‬ ‫س‬
‫ب‬ ‫م‬ ‫جب‬ ‫ج‬ ‫ل ك خ ص في ح‬ ‫ل ص من لحي‬
‫ي ي في‬ ‫لع ي ل‬ ‫خط‬ ‫ش م عن كيفي س‬ ‫ت ين ف‬ ‫ع‬ ‫ص ل سط ليس ع‬ ‫ل‬ ‫ب‬ ‫ل أح ت أ‬

‫كثي في ف م لي ل ط يق‬ ‫ليسسع‬ ‫ع من ألس‬ ‫ ق ت ب ض ف م‬. ‫ئي ت يض‬ ‫أخ‬ ‫ب م‬ ‫خ‬
Steps of the nursing process
Use the steps of the nursing process to prioritize.

‫ف ل صف لح ل ل ضح ب لسؤ‬ ‫ي ي ل ح ي أل ل ي‬ ‫لع ي ل‬ ‫خط‬ ‫س‬
The steps include :

1-assessment ‫ ل ييم‬: the nurse collects data. ( ‫( ل ي ن‬ ‫ي ع لع م‬
2-analysis(diagnosis) ‫ل يض تح ي ل يص ل ي ي‬ ‫تح يل ش‬: The nurse

identifies human responses to actual or potential health problems
3-planning : the nurse develops strategies to resolve or decrease the patient's

problem. ‫ل يض‬ ‫خط ل ع ي ل يل من م‬ ‫يح الس تي ي‬
4-implementation: intervention ‫ل في‬
5-evaluation : ‫ ع ل ييم ك يس ل يم‬the nurse determines the effectiveness of

the plan of care. ‫يح فع لي خط ل ع ي ل ي تم ت في ه‬

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‫س‬ ‫ي ي لالج ب ع‬ ‫ال ل في لع ي ل‬ ‫من ل ط‬ ‫ص ل ضيح كيفي الس ف‬ ‫ه ل زء م‬

‫ل يض‬
Assessment ‫لتقييم‬
‫ هي لتقييم‬- ‫أل لى في لع ي لت ري ي‬ ‫ل ط‬
-Assessment questions address the process of gathering subjective and objective

data relative to the client, confirming the data, and communicating and
documenting the data.
- Remember that assessment is the first step in the nursing process.
- When you are asked to select your first, immediate, or initial nursing
action, follow the steps of the nursing process to prioritize when selecting
the correct option.
‫لع ي ل ي ي‬ ‫لس يع ت ع خط‬ ‫ل خل ل ي ي أل‬ ‫ت‬ ‫ع م يط ب م ك لسؤ‬
‫ل ح ي أل ل ي الخ ي الج ب ل حيح‬
-Look for strategic words in the options that reflect assessment

Words That Reflect Assessment ‫االجاب مرتبط بالتقييم‬ ‫على ا‬ ‫االستراتيجي التي تد‬ ‫ال ل ا‬
- Assess
- Check
- Collect
- Determine
- Find out
- Gather
- Identify
- Monitor
- Observe
- Obtain information
- Recognize
If an option contains the concept of assessment or the collection of client data, the
best choice is to select that option .
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‫ل ييم ج ع ل زي من‬ ‫مف‬ ‫ع مي ع س‬ ‫خي يح‬ ‫ك من ض ن ل ي‬

‫ك نت لح ل ليست‬ ‫ل ع م ح صح ل يض ف ف ل ج ب هي ع ه ل ي خ ص‬
‫ل يض‬ ‫لم ي ن في لسؤ مع م ك في ل صف ح ل ل يض (ب ع نه التز ش‬ ‫ئ‬
) ‫ل ئيسي في لسؤ م ل غي م ضح ب ل ك في‬
: ‫ليك ت لي سؤ ت ضيحي‬
Question :
The clinic nurse prepares to develop a diabetic teaching program. To meet the
clients’ needs, the nurse should take which action first?
1. Assess the clients’ functional abilities.

2. Ensure that insurance will pay for participation in the program.
3. Discuss the focus of the program with the interprofessional team.
4. Include everyone who comes into the clinic in the teaching sessions.
‫ء‬ ‫ من ض ن ه ل‬،، ‫م أ أل ل ي‬ ‫أه ي س‬ ‫ ت ن م ش ل‬First ‫الس تي ي‬ ‫الحظ في لسؤ ل‬

‫ل ض ع لي‬ ‫ن ل ثي من ل ت في ل ي‬ ‫ي‬ ‫في ل‬ ‫أمع ل‬ ،، ‫لع ي ل ي ي‬ ‫خط‬ ‫س‬
‫لحي‬ ‫م‬ ‫ئ‬ ‫ ل ن ه لح ل ليست‬ABC ‫ ف ف في‬،، ‫ل حث عن س تي ي لالج ب‬ ‫ن ص من ه ل ت نح‬
. ‫ت تيب الح ي ج النس ني‬ ‫لسؤ ي‬ ‫ت ي ل‬ ‫عالم‬ ‫ ن ل ل م س ل ن ال ي ج‬،، ‫صح ل يض‬
‫ت فع الس‬ ‫تثي ن ه‬ ‫أل‬ ‫ في ل ي‬Assess ‫ك‬ ‫س‬ ‫ن ل ف ي في لع ي ل ي ي ف‬ ‫أم‬

. ‫لع ي ل ي ي‬ ‫س تي ي خط‬
‫ل ض ي بع‬ ‫ ف ن جل تح يق م ط‬، ‫ب ل ح ي الق م ب ن مج تث يف ل س‬ ‫ت‬ ‫عي‬ ‫ م‬: ‫ت ضيح لسؤ‬

‫ال أ ؟؟؟؟؟؟‬ ‫ل‬
‫؟؟؟‬ ‫ل ض ي بعي‬ ‫ض من ع ل ب ن مج تث يفي ن جح يح ق ح ي ج‬ ‫ن ل‬ ‫ت‬ ‫ ح‬: ‫في لسؤ‬ ‫لط‬
‫يع ف‬ ‫ش ص من ل ث يف ل حي ح من ل ع ي ل حي ي ط ب من ل‬ ‫تح يق م ط‬ ‫ب ل أكي‬

‫كي ع‬ ‫ع‬ ‫ حيث ب ء ل في يع‬،، ‫ل يض ح ي ج ته ل ص من ل ث يف ل ع ي ق ل ل ء ب ل في‬ ‫مط‬
‫ل ال ي م ال عن يق ل ييم أ ال‬ ‫تح ي الح ي ج‬
Correct Answer is : Assess the clients’ functional abilities.
Test-Taking Strategy: Note the strategic word, first, which indicates the need to prioritize.

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Use the steps of the nursing process to answer the question, remembering that assessment is the
first step.
The only option that addresses assessment is option 1. The nurse should focus on individualized
disease prevention and health promotion and maintenance.
Therefore, the nurse must first assess the clients and their needs so as to effectively plan the
program.
.
Remember that assessment is the first step in the nursing process!

If an assessment action is not one of the options, follow the steps of the nursing process
as your guide to select your first, immediate, or initial action.
Question : A client is undergoing peritoneal dialysis. The dialysate dwell

time is completed, and the dwell clamp is opened to allow the dialysate
to drain. The nurse notes that the drainage has stopped and only 500 ml
has drained; the amount the dialysate instilled was 1,500 ml. Which of
the following interventions would be done first?
A. Change the client's position.
B. Call the physician.
C. Check the catheter for kinks or obstruction.( Assessment First)
D. Clamp the catheter and instill more dialysate at the next exchange time.
The correct answer is C

The first intervention should be to check for kinks and obstructions because
that could be preventing drainage. After checking for kinks, have the client
change position to promote drainage. Don't give the next scheduled exchange
until the dialysate is drained because abdominal distention will occur, unless
the output is within parameters set by the physician. If unable to get more
output despite checking for kinks and changing the client's position, the nurse
should then call the physician to determine the proper intervention.

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‫ي ي‬ ‫لع ي ل‬ ‫ل لي من خط‬ ‫ن لل ط‬ ‫ل ج‬ ‫لم ي ن ( ل ييم ) من ض ن ل ي‬
Possible exception to the guideline—if the question presents an emergency situation, read
carefully; in an emergency situation, an intervention may be the priority.
‫س ث ء من ل جح ( ل في ) يس ق ( ل ييم ) في لح ال لط ئ‬ ‫ في لح ال لط ئ ق ت‬: ‫ن ط ه م ج‬
‫ق ل لك‬ ‫ م أخ‬، ‫ل ييم ئ ق ل ل في‬ ‫ع ع‬.‫ع ل ب أ‬ ‫فأ ج ن ه ل الس ث ء ال ت‬
‫ ف ق ت‬، ‫تع مل مع كل سؤ ع نه خ بح ته‬ ‫ه لك ئ ن من ل ن في ل ع مل مع الس‬
‫ه لك س ث ء في لح ال لط ئ حيث من ل ن يأتي ت في الج ء ك ط تس ق ل ييم‬
‫لتي تح ل ع ي من ل ريض هي‬ ‫ل ع م‬ ‫ت ي بين ن‬ ‫في خط لتقييم تحت ألمر ه خر ه‬

‫ن ع س سي ب الض ف ل ت يخ ل رضي‬
1-subjective Data ‫لغير م ض عي‬ ‫ ( ل ي ن‬what the patient says )
‫بغي‬ ‫ال‬ ‫ه لش‬ ‫ه لشع‬ ‫م يق له لي ل ريض الي ن لي معرف ه ل ع م‬ ‫هي ب س‬

‫ي ف من خال ك ته‬ ‫ي ره يع ر ع‬ ‫ النه ل حي لق‬،، ‫ب ل ريض‬
‫الي ن تق أب‬
‫ل ريض فقط من يح ش ت يعطي تع ير عن مق ه‬
‫من ألم ع ى ل ي ن لغير م ض عي م ي ي‬

Pain , discomfort ,muscle spasm
Subjective data is gathered from the patient telling you something that you cannot use your five
senses to measure.
If a patient tells you they have had diarrhea for the past two days, that is subjective, you cannot
know that information any other way besides being told that is what happened.
Pain is subjective because the patient is telling you what their pain is.
‫حس ألم ل يض ؟‬ ‫س‬ ‫ هل ي ن م ه‬: ‫ب ل ض ف ك ل لي‬ ‫ح‬
‫ع ي بح سك تع غي م ض عي‬ ‫مع م التس طيع لح‬ ‫ ف‬،، ‫ب لط ع ال تس طيع‬
Subjective Data

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1-objective Data ‫ل ض عي‬ ‫ل ع م‬

‫ح سه ي ن قي س ب سط‬ ‫ل ر عن ريق ست‬ ‫لتي يح ل ع ي‬ ‫لين‬ ‫هي ل ع م‬
‫لفحص لتقييم‬
This is the information that we can gather using our 5 senses. It is either a measurement or an
observation.
Temperature is a perfect example of objective data. The temperature of a person can be gathered
using a thermometer.
Other examples of objective data:
 Heart rate
 Blood pressure
 Respirations
 Wound appearance ‫ل‬ ‫م‬
 Ambulation description. ‫صف ح ك ل يض‬
 Skin color
‫ت ضيحي ش م بطريق ع ي م تع لتت ن من لت يي بين‬ ‫ليك ت لي أم‬

Subjective objective
‫ع ي مر‬ ‫يجب أ تت‬

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Situation 1 :
You have a 48 year old male patient who comes in stating, “I feel like I can’t breathe.” Patients’
respirations are 28 breaths per minute and their heart rate is 115 beats per minute. The patient then grabs
his chest and says, “My chest hurts so bad, please help!” You ask the patient to rate the pain on a scale
from 0-10, 10 being the worst pain ever. The patient replies, “10, it hurts so badly!” You then ask the
patient to describe what the pain feels like, the patient reports that his pain feels like pressure. Your
patient then starts to become diaphoretic and pale. You take an EKGthat shows Sinus Tachycardia. The
pulse oximeter shows 100% on room air and the patients’ blood pressure is 120/80 mmHg.
 Objective data:
o 48 year old male
o Respirations 28
o Heart rate 115
o Patient is diaphoretic and pale
o EKG showing sinus tachycardia
o Pulse ox 100% on room air
o Blood pressure 120/80 mmHg.
 Subjective data:
o Patient experiencing shortness of breath
o Chest pain that is a pressure feeling and is 10/10
Why is shortness of breath subjective? Because the patient is telling you they feel this way, if the
nurse noted accessory muscle use the accessory muscle use would be objective and the feeling of
shortness of breath would still be subjective. The diaphoretic and pale skin condition is objective
because it is a visible observation.
‫ب لتأكي ست تعت تري م ال أخر‬
Situation 2
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A patient tells you they got their finger cut with a razor about 20 minutes ago and then shows
you the cut on their finger, the cut is one inch long located on the left pinky finger about 1
centimeter deep. The patient states, “My finger is bleeding, can you get me gauze for the blood?”
Let’s break this down:
 Objective:
o 1 inch cut on left pinky finger, 1 cm deep.
o Currently bleeding
 Subjective:
o The finger got cut by a razor
o Happened about 20 minutes ago
This example is trickier because of the way I worded it, the patient stated that their cut was
bleeding, so why is it objective data? It is objective because the bleeding can be observed by the
nurse and the example already informs you that the nurse looked at it.
Situation 3
Your patient is holding their stomach and moaning. They say, “I can’t take this pain anymore! It
feels like someone is cutting my belly with a jagged hot knife!” The patients face is red and
sweaty, their heart rate is 115 bmp and their respirations shallow. The patients abdomen is hard,
round, distended and when you percuss over each quadrant you hear a dull short tones. The

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patient then informs you they feel dizzy. You perform an EKG and the results are normal sinus
rhythm (NSR). The patient start to cry and plead for you to help them. You re-assure them that
they are in the right place and you are so happy to be taking care of them. They dry their tears
and thank you.
Let’s break this down:
 Objective:
o Face is red and sweaty
o Heart rate 115 bmp
o Shallow respirations
o Abdomen hard, round, distended
o Percussed dull noises
o Patient holding abdomen and moaning
o EKG
o Tearful
 Subjective:
o Burning sharp pain
o Dizziness
Analysis ( Diagnosis)
‫ل ني في لع ي لت ري ي هي لتح يل‬ ‫ل ط‬

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During the Nursing diagnosis :The nurse identifies human responses to actual or potential
health problems
‫يص لط ي‬ ‫ه م ج ج هي تعطي ب ض تع يف ل يص ل ي ي ت يز عن ل‬ ‫ه ك‬
‫بح ته‬ ‫ل ضي بي ي لط يب ب ع ل ل‬ ‫ي ع مل يع لج س ب ل يض ل‬ ‫فل‬
‫ف ثال ع م ن يس ج ح‬ ‫ل‬ ‫ف ل يص ل يض ي كز ع لط ي ل ي يس يب في النس‬

‫ب‬ ‫لم ف ن ن ع مل مع س‬ ‫ج لح‬ ‫ف ن من خال ل كيز ع‬ ‫ل يض ن ع ج ء ل فض ج لح‬
‫خ ل ع ي غي‬ ‫ع‬ ‫معين ق ي‬ ‫هي س ب ل‬ ‫ال لح‬ ‫جسم ل يض ل‬
‫لعالم‬ ‫ل ه‬ ‫ي ب ي ز ل فيف‬ ‫ل‬ ‫ع‬ ‫ي ع مل مع عالم‬ ‫ ل‬: ‫شي‬ ‫بس‬

‫عف ل ي ق تح‬ ‫ل‬ ‫ل يل من ل ط‬ ‫ألع‬
Analysis questions are the most difficult questions because they require understanding
of the principles of physiological responses and require interpretation of the data based
on assessment.
b. Analysis questions require critical thinking and determining the rationale for
therapeutic prescriptions or interventions that may be addressed in the question
c. Analysis questions may address the formulation of a statement that identifies a client
need or problem and include the communication and documentation of the results of the
process of analysis.
Question: The nurse reviews the arterial blood gas results of a client and notes the
following: pH of 7.30, PCO2 of 50 mm Hg, and HCO3 of 22 mEq/L. The nurse
analyzes these results as indicating which condition?
1. Metabolic acidosis, compensated
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2. Respiratory alkalosis, compensated

3. Metabolic alkalosis, uncompensated
4. Respiratory acidosis, uncompensated
Correct Answer: Respiratory acidosis, uncompensated
Test-Taking Strategy: Focus on the subject, interpreting arterial blood gas results.
The normal pH is 7.35 to 7.45. In a respiratory condition, an opposite effect will be seen
between the pH and the PCO2.
In this situation, the pH is lower than the normal value, and the PCO2 is elevated.
In an acidotic condition, the pH is low. Therefore, the values identified in the question
indicate respiratory acidosis.
Compensation occurs when the pH returns to a normal value. Because the pH is not
normal, compensation has not occurred.
Remember that in a respiratory imbalance you will find an opposite response between the
pH and the PCO2 as indicated in the question. Therefore, you can eliminate options
1 and 3.
Also, remember that the pH decreases in an acidotic condition and compensation occurs,
as evidenced by a normal pH. Remember that analysis is the second step in the nursing
process!
Planning
‫في لع ي لت ري ي هي لت طيط‬ ‫ل ل‬ ‫ل ط‬

‫‪Training Specialist‬‬
‫‪Omar Hammad‬‬ ‫لسع ي – ت ريض‬ ‫ل ي‬ ‫ف الخت‬ ‫ل رن مج لت ي ي ل‬
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‫لع ي ل ي ي هي ع عن م ح بح ت ي م في تح ي‬ ‫ال ل خط ه م ج من خط‬ ‫ص‬

‫في ه ل ح من لع ي ل ي ي ت ح أ ل ي ل ع ي ل ي ي ) ف‬ ‫ل ع ي ( ن ه جي‬ ‫ل ي‬
‫ل تيب أل ل ي ل ي تم ضع في ه ل ح ي م الح ت في الج ء ل ي ي‬
‫خط ت ع‬ ‫ل‬ ‫ف ل ح ه م ج في ي م ت تيب ل ال ل ي يع ني م ل يض ف ل‬

‫أخط ي ب ل ه ل أ ال ضع اله ف الج ء ل ي ي‬ ‫ليت ع م‬ ‫صح ه حي ته‪ ،‬ف ل‬
‫لال م ل ع ل ه ل‬
‫‪ ,‬ت تيب م ال ل يض ف لال ل ي ‪Planning questions require prioritizing client problems‬‬

‫‪ criteria for goals of care, developing the‬ل ئج ‪ and outcome‬أله ف ‪determining goals‬‬
‫‪plan of care, and communicating and documenting the plan of care.‬‬
‫ضعت أله ف تم ت في‬ ‫ي م تح ي أله ف ل ئج ل غ ب ل ي من أجل تح ي‬ ‫ي‬ ‫ل ح‬ ‫في ه‬

‫الج ء ل ي ي‬
‫ب س ف م ح ل طيط ت ن ‪ 3‬ن أس سي هي‬

‫ت تيب م ال ل يض ف لأل ل ي ‪1- Prioritizing client problem‬‬
‫ضع صي غ أله ف ‪2- Setting Goals‬‬
‫تح ي ل ئج ل غ ب ل قع ‪3- Determine outcome‬‬
‫‪b. Remember that actual client problems rather than potential client problems will most‬‬
‫‪likely be the priority.‬‬
‫ل يض لفع ي‬ ‫ل طيط هي أ ‪ -----‬أل ل ي ل‬ ‫في م ح‬ ‫ن ط ه م أخي‬
‫مح‬ ‫ل يض من م‬ ‫ل ي ح ل م يض معين ي‬ ‫فأحي ن ت‬ ‫ل‬ ‫ف لك ل ثي من ألس ل ع ب‬

‫مع ف ت أ‬ ‫ل ل‬ ‫فع ي ( مش فع ي ) ‪ ،‬في نفس ل قت ف‬ ‫ل‬ ‫ه‬ ‫أع‬ ‫ع يه عالم‬ ‫ت‬
‫خ ل ل يض (مش مت قع )‬ ‫ت أم‬ ‫بأنه ق‬
‫ف أل ل ي ل ي ل تع ق ب ل ش لفع ي‬ ‫ه‬
‫‪Question ( Planning ) : A client with active tuberculosis (TB) is to be admitted to a‬‬
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Medical-surgical unit. Which action should the nurse take when planning a bed
assignment?
1. Tell the admitting office to send the client to the intensive care unit.
2. Place the client in a private, airborne infection isolation room (AIIR).
3. Assign the client to a room with another client because intravenous antibiotics will be
administered.
4. Assign the client to a room with another client and place a “strict hand washing” sign
outside the door.
Correct Answer: . Place the client in a private, airborne infection isolation room (AIIR).
Test-Taking Strategy: Focus on the subject, planning nursing care and identifying the
safe bed assignment.
Note that the question states “active tuberculosis.” Tuberculosis is spread via the
airborne route.
Preventing the spread of infection requires the use of special air handling and ventilation
in an AIIR. Therefore, option 2 is the only correct option when planning a bed
assignment for this client.
Remember that planning is the third step in the nursing process
Implementation (Intervention )
) ‫لتط يق ( الجر ء‬ ‫لر بع في لع ي لت ري ي هي لت في‬ ‫ل ط‬

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Implementation questions address the process of organizing and managing care,

counseling and teaching, providing care to achieve established goals, supervising and
coordinating care, and communicating and documenting nursing interventions.
Focus on a nursing action rather than on a medical action when you are answering a
question, unless the question is asking you what prescribed medical action is anticipated.
‫ضح‬ ‫في لسؤ‬ ‫ م لم ي ن ل ط‬، ‫ل في ي ب أ ت كز ع ألفع لت ري ي ليس ألفع لط ي‬ ‫في س‬

‫نه يط ب م ه الج ء لط ي ل ص ف ل سب‬
On the Prometric-RN exam, the only client that you need to be concerned about is the
client in the current question; avoid the “What if …?” syndrome and remember that the
client in the question on the computer screen is your only assigned client.
‫(( في خ‬ ‫ن ط ه م ج هي تس ع ع ل ص من خطأ ك ي ي ع فيه أغ ب ل مين الخ ب م‬

‫ف ل يض ل ي ب ت م به ه ل يض ل ج في لسؤ أم مك ف ط – ليس ل يض ل‬ ‫ب م‬
‫ع ل يض ل ج في‬ ‫م‬ ‫ل يض ل س عت ع ه – كل ت كيز ي ب ي‬ ‫ش ه ته في ل س ف‬
‫سي ي بط ي ك ل ص – كز ف ط‬ ‫مس ال تف‬ ‫لسؤ ف ط – ال ت يل م يض معين ح ث ج‬
) ‫ع ل يض في لسؤ ل أم مك‬
Answer the question from a textbook and ideal point of view

‫ل ي تحس ن أصح‬ ‫ل ي‬ ‫الج ب ل ط ب هي الج ب لع ي ليست الج ب ل قعي‬ ‫ئ تك‬
‫س ح يث – الج ب ي ب تس‬ ‫ ع ه ال ي أ أبح‬30 ‫يع ل م‬ ‫ع م‬ ‫ل ي‬
‫ألسس م جع ع ي‬

Training Specialist
0561523465
remember that the nurse has all the time and all of the equipment needed to care for the
client readily available at the bedside; remember that you do not need to run to the
treatment room to obtain, for example, sterile gloves or wound dressing materials because
these items will be at the client’s bedside.
‫كل‬ ‫ل في لسؤ ي ك كل ل م‬ ‫م ب ل‬ ‫نت تح ل ب ل قف لح ل ل ي في لسؤ ت ك‬

‫ ل يه ج يع أل‬، ‫ ل يه ل قت ل في ل ع ي ل يض بط ي مث لي‬، ‫ل ث لي لال م ل ع ي ل يض‬ ‫ل‬
‫ل يض‬ ‫ ال ي ج ن ص ك م ف ب‬، ‫ألج ز م ف مث لي‬ ‫ل س زم‬
Question ( Implementation ) : The nurse is performing range-of-motion (ROM)

exercises on a client when the client unexpectedly develops spastic muscle
contractions. The nurse should implement which interventions?

Training Specialist
0561523465
Select all that apply.

1. Stop movement of affected part.
2. Massage the affected part vigorously.
3. Notify the health care provider immediately.
4. Force movement of the joint supporting the muscle.
5. Ask the client to stand and walk rapidly around the room.
6. Place continuous gentle pressure on the muscle group until it relaxes.
Answer: 1, 6
Test-Taking Strategy: Implementation questions address the process of organizing and

managing care. Focus on the subject, interventions to relieve spastic muscle contractions.
ROM exercises should put each joint through as full a range of motion as possible
without causing discomfort.
An unexpected outcome is the development of spastic muscle contraction during ROM

exercises. If this occurs, the nurse should stop movement of the affected part and place
continuous gentle pressure on the muscle group until it relaxes.
Once the contraction subsides, the exercises are resumed using slower, steady movement.
Massaging the affected part vigorously may worsen the contraction.
There is no need to notify the health care provider unless intervention is ineffective.
The nurse should never force movement of a joint. Asking the client to stand and walk
rapidly around the room is an inappropriate measure.
Additionally, if the client is able to walk, ROM exercises are probably unnecessary.
Remember that implementation is the fourth step in the nursing process

Evaluation
) ‫لتقييم ( لتق يم‬ ‫ل مس في لع ي لت ري ي هي ع‬ ‫ل ط‬

Training Specialist
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Evaluation questions focus on comparing the actual outcomes of care with the expected
outcomes and on communicating and documenting findings.
‫ك ف لع مل ل ي ق‬ ‫م‬ ‫ب ل يض ل ع ي ل‬ ‫ل ع ب ل ييم ل ئي ت ف ل س ع في تح ي س‬ ‫ألس‬

‫مع تح يق ل ئج ل قع‬ ‫تع‬
‫ع ن ئج م قع هي ي ف ل يض ل ه‬ ‫يض مس ن لاللم ب ف لح‬ ‫ق ب عط ء م‬ ‫ع س يل ل ث‬

‫ فعال بع ت له ل س ن ب ف س ع سأل‬،، ‫ك ع يه ق ل عط ء ل س ن‬ ‫ن ب ج قل م‬ ‫بع ت له ل س‬
‫ ( م ق به ال ع م سأل ل يض‬.‫ج أللم ص حت أقل‬ ‫ فأخ ن ب‬، ‫ه‬ ‫ج أل‬ ‫فل‬ ‫ل يض بأ ي‬
( Evaluation – ‫عن م ح ل يم‬ ‫ل س ن يع‬ ‫عن ل ه بع ت‬
These questions focus on assisting in determining the client’s response to care and
identifying factors that may interfere with achieving expected outcomes.
In an evaluation question, watch for negative event queries because they are frequently
used in evaluation-type questions.
Question ( Evaluation ) : The nurse instructs a client receiving external radiation

therapy about skin care. Which statements by the client indicate an understanding
of the instructions? Select all that apply.
1. “I can lie in the sun as long as I limit the time to 2 hours daily.”
2. “I should wear snug clothing to support the irradiated skin area.”
3. “I should wash the irradiated area gently each day with a mild soap and water.”
4. “After bathing I should dry the area with a patting motion using a clean soft towel.”
5. “I should avoid the use of powders, lotions, or creams on the skin area being
irradiated.”
6. “I should avoid removing the markings on the skin when bathing until the entire course
of radiation is complete.”
Answer: 3, 4, 5, 6
Test-Taking Strategy: Focus on the subject, client understanding of the instructions.

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The subject specifies that this is an evaluation-type question.
Recall that external radiation therapy can cause altered skin integrity and special
measures need to be taken to protect the skin.
These measures include:

- washing the irradiated area gently (using the hand rather than
a wash cloth) each day with either water alone or water and a mild soap (rinse soap
thoroughly)
- drying the area with a patting motion (not a rubbing motion) with a clean soft
towel
- avoiding removing the markings on the skin when bathing until the entire course
of radiation is complete because these markings indicate exactly where the beam
of radiation is to be focused
- avoiding the use of powders, lotions, or creams on the skin area being irradiated
unless prescribed by the health care provider;
- avoiding wearing clothing or items that bind or rub the irradiated skin area;
- avoiding heat exposure or sun exposure to the irradiated area.
Remember that evaluationis the fifth step in the nursing process
‫لك ع‬ ‫ص‬ ‫ل‬ ‫ب‬ ‫ سؤ م ع‬50 ‫ ضعت ل م أكث من‬، ‫ض ك مال‬ ‫ل زي من لف م ل ضيح ل‬
‫في ل ن مج ل ي ي ل ثف‬ ‫ل ن مج ل‬
‫ل صل تس‬ ‫ي ج‬ ‫من ألس مع ل ضيح ل‬ ‫ي ي الس ف‬ ‫ل س يل في ل ن مج ل‬

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Nursing Process: Training Specialist Omar Hammad 0561523465

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‫‪Training Specialist‬‬

‫‪Omar Hammad‬‬ ‫لسع ي – ت ريض‬ ‫ل ي‬ ‫ف الخت‬ ‫ل رن مج لت ي ي ل‬

‫بغ‬ ‫فم ل ض ع‬ ‫ع‬ ‫ليس ع‬ ‫ص بأس ل أبسط م‬ ‫أق لك ه ل‬

‫من‬ ‫م ش‬ ‫الق ال بع الس‬ ‫ل ف‬ ‫ه‬ ‫‪ -------‬أتع بع ن‬ ‫أن ل‬

‫‪Hammadjo2012@yahoo.com‬‬ ‫‪WhatsApp +966561523465‬‬ ‫‪Twitter : @hammadjo2012‬‬

‫ي‬ ‫يف ل‬ ‫لي ل‬ ‫الخ‬

‫ص ألح أخ‬ ‫س ه ل‬ ‫ أتع بع ن أ بيع‬........... ‫أن ل‬

‫ه ل ت ن ش ألح الس تي ي ل م ج ل ي ي ن الع ع ي‬

‫ي ي في‬ ‫لع ي ل‬ ‫خط‬ ‫ش م عن كيفي س‬ ‫ت ين ف‬ ‫ع‬ ‫ص ل سط ليس ع‬ ‫ل‬ ‫ب‬ ‫ل أح ت أ‬

Steps of the nursing process

Use the steps of the nursing process to prioritize.

The steps include :

2-analysis(diagnosis) ‫ل يض تح ي ل يص ل ي ي‬ ‫تح يل ش‬: The nurse

3-planning : the nurse develops strategies to resolve or decrease the patient's

4-implementation: intervention ‫ل في‬

5-evaluation : ‫ ع ل ييم ك يس ل يم‬the nurse determines the effectiveness of

Hammadjo2012@yahoo.com WhatsApp +966561523465 Twitter : @hammadjo2012

‫س‬ ‫ي ي لالج ب ع‬ ‫ال ل في لع ي ل‬ ‫من ل ط‬ ‫ص ل ضيح كيفي الس ف‬ ‫ه ل زء م‬

-Assessment questions address the process of gathering subjective and objective

- Remember that assessment is the first step in the nursing process.

-Look for strategic words in the options that reflect assessment

‫ل ييم ج ع ل زي من‬ ‫مف‬ ‫ع مي ع س‬ ‫خي يح‬ ‫ك من ض ن ل ي‬

1. Assess the clients’ functional abilities.

‫ء‬ ‫ من ض ن ه ل‬،، ‫م أ أل ل ي‬ ‫أه ي س‬ ‫ ت ن م ش ل‬First ‫الس تي ي‬ ‫الحظ في لسؤ ل‬

‫ت فع الس‬ ‫تثي ن ه‬ ‫أل‬ ‫ في ل ي‬Assess ‫ك‬ ‫س‬ ‫ن ل ف ي في لع ي ل ي ي ف‬ ‫أم‬

‫ل ض ي بع‬ ‫ ف ن جل تح يق م ط‬، ‫ب ل ح ي الق م ب ن مج تث يف ل س‬ ‫ت‬ ‫عي‬ ‫ م‬: ‫ت ضيح لسؤ‬

‫يع ف‬ ‫ش ص من ل ث يف ل حي ح من ل ع ي ل حي ي ط ب من ل‬ ‫تح يق م ط‬ ‫ب ل أكي‬

Correct Answer is : Assess the clients’ functional abilities.

Hammadjo2012@yahoo.com WhatsApp +966561523465 Twitter : @hammadjo2012

Remember that assessment is the first step in the nursing process!

Question : A client is undergoing peritoneal dialysis. The dialysate dwell

A. Change the client's position.

B. Call the physician.

C. Check the catheter for kinks or obstruction.( Assessment First)

The correct answer is C

Hammadjo2012@yahoo.com WhatsApp +966561523465 Twitter : @hammadjo2012

‫ي ي‬ ‫لع ي ل‬ ‫ل لي من خط‬ ‫ن لل ط‬ ‫ل ج‬ ‫لم ي ن ( ل ييم ) من ض ن ل ي‬

‫لتي تح ل ع ي من ل ريض هي‬ ‫ل ع م‬ ‫ت ي بين ن‬ ‫في خط لتقييم تحت ألمر ه خر ه‬

‫بغي‬ ‫ال‬ ‫ه لش‬ ‫ه لشع‬ ‫م يق له لي ل ريض الي ن لي معرف ه ل ع م‬ ‫هي ب س‬

‫من ألم ع ى ل ي ن لغير م ض عي م ي ي‬

Hammadjo2012@yahoo.com WhatsApp +966561523465 Twitter : @hammadjo2012

1-objective Data ‫ل ض عي‬ ‫ل ع م‬

‫ت ضيحي ش م بطريق ع ي م تع لتت ن من لت يي بين‬ ‫ليك ت لي أم‬

‫ع ي مر‬ ‫يجب أ تت‬

Hammadjo2012@yahoo.com WhatsApp +966561523465 Twitter : @hammadjo2012

‫ب لتأكي ست تعت تري م ال أخر‬

Hammadjo2012@yahoo.com WhatsApp +966561523465 Twitter : @hammadjo2012

Hammadjo2012@yahoo.com WhatsApp +966561523465 Twitter : @hammadjo2012

‫ف ثال ع م ن يس ج ح‬ ‫ل‬ ‫ف ل يص ل يض ي كز ع لط ي ل ي يس يب في النس‬

‫لعالم‬ ‫ل ه‬ ‫ي ب ي ز ل فيف‬ ‫ل‬ ‫ع‬ ‫ي ع مل مع عالم‬ ‫ ل‬: ‫شي‬ ‫بس‬

2. Respiratory alkalosis, compensated

Correct Answer: Respiratory acidosis, uncompensated

Hammadjo2012@yahoo.com WhatsApp +966561523465 Twitter : @hammadjo2012

‫لع ي ل ي ي هي ع عن م ح بح ت ي م في تح ي‬ ‫ال ل خط ه م ج من خط‬ ‫ص‬

‫خط ت ع‬ ‫ل‬ ‫ف ل ح ه م ج في ي م ت تيب ل ال ل ي يع ني م ل يض ف ل‬

‫‪ ,‬ت تيب م ال ل يض ف لال ل ي ‪Planning questions require prioritizing client problems‬‬

‫ضعت أله ف تم ت في‬ ‫ي م تح ي أله ف ل ئج ل غ ب ل ي من أجل تح ي‬ ‫ي‬ ‫ل ح‬ ‫في ه‬

‫ب س ف م ح ل طيط ت ن ‪ 3‬ن أس سي هي‬